We are here to answer the age old question, why is an MRI scan so expensive? The simple answer is there are many associated costs to installing, maintaining, and scanning with an MRI. Lets explore some of the cost factors
Why is an MRI Scan So Expensive?
Factors That Determine MRI Scan Prices
Initial Cost to Install
One of the largest costs associated with Magnetic Resonance Imaging is the initial cost to purchase and install an MRI scanner. A new MRI scanner with high definition MRI coils, software imaging options and installation can run into the millions of dollars to install and calibrate. A good rule of thumb for estimating cost of a new MRI scanner is multiply the magnet tesla by one million. Example: 1.5T= $1.5 million, 3T= $3 million.
Fluctuating Liquid Helium costs
An MRI scan utilizes superconductive coils which are submerged in thousands of liters of liquid helium. The transfer of liquid helium into the MRI also requires contracting a highly specialized cryogen technician to perform service. The price of liquid helium is based on industry demand. The current cost of liquid helium can range from $18/liter to $25/liter.
Overhead and Administration Costs
Accredited hospitals and imaging centers require a full range of staff, medical equipment, medical facilities and Radiologists to read the images. MRI scanners require calibration, maintenance, and repair by specially-trained service engineers in order to produce accurate and detailed images,
Cost of Replacement Parts in the Biomedical Industry
The cost of parts to repair an MRI system when a system is unable to scan can be very expensive. Many hospitals and imaging centers opt to sign service contracts with either the manufacturer or a third-party service provider. An MRI service contract can help to reduce the cost to perform and MRI scan. A service contract covers any costs associated with a down scanner. Contract provisions also include resources for liquid helium refills, coil replacement, and parts coverage. Service contracts can range from $5k/month to $25k/month depending on coverage.
10+ Proactive Steps to Reduce Out-of-Pocket Cost of MRI Scans
Patients can take several proactive steps to help reduce out-of-pocket costs for an MRI scan. Keep in mind that healthcare systems and insurance policies can vary widely, so you should check with your specific provider and plan for the most accurate information. Here are some important steps to consider:
1. Ask about cash price for an MRI scan
Radiology centers offer imaging services at a much lower cost if you are willing to pay at the time of service. Asking for a cash price for your MRI scan will often lead to the most savings. I have personally seen as much as a 66% discount on quoted MRI prices when asking about cash price at time of service. Consult with your health insurance provider to compare out-of-pocket costs.
2. Check your insurance coverage
Review your insurance policy to understand what MRI expenses it covers and what your deductible, copay, and coinsurance responsibilities are.
3. Choose in-network providers.
Select an in-network healthcare facility and radiologist to ensure that your insurance plan provides maximum coverage.
4. Obtain prior authorization.
Contact your insurance provider and obtain prior authorization for the MRI if your plan requires it. Failure to do so could result in reduced coverage or claim denial.
5. Compare costs at different facilities.
Compare costs at various healthcare facilities or imaging centers. Prices can vary significantly, so explore your options.
6. Negotiate the cost of MRI scan.
Contact the healthcare facility and negotiate for cash discounts or payment plans. You might be able to secure a lower price, especially if you’re paying out of pocket.
7. Request itemized bills.
Request an itemized bill that breaks down the costs. This can help you identify any errors or overcharges.
8. Inquire about financial assistance programs.
Inquire about financial assistance programs or charity care options if you’re facing financial hardship. Some facilities offer reduced rates or free services based on income.
9. Utilize Flexible Spending Account (FSA) or Health Savings Account (HSA).
If you have an FSA or HSA, use these accounts to pay for your MRI scan with pre-tax dollars, reducing your overall cost.
10. Consider medical tourism.
Consider traveling to areas or countries where healthcare costs are lower if it’s a viable option for you.
11. Explore clinical trials and research studies.
Look into clinical trials or research studies that may provide free or low-cost MRI scans, especially if you meet the study criteria.
12. Ensure you have a prescription for the MRI.
Ensure that your healthcare provider has issued a valid medical reason for the MRI to improve the chances of insurance coverage.
13. Review bills carefully.
After the procedure, carefully review all bills and insurance statements to ensure accuracy and that you’re not being overcharged.
14. File appeals for denied claims.
If your insurance company denies coverage, don’t hesitate to file an appeal. Sometimes, claims are denied initially but approved upon review.
15. Arrange payment plans.
If you cannot pay the full amount upfront, inquire about setting up a payment plan with the healthcare provider.
16. Consider healthcare advocacy services.
Consider using healthcare advocacy services or patient advocates who can help you navigate the healthcare system and negotiate bills on your behalf.
17. Maintain all documentation.
Keep records of all communication with healthcare providers, insurance companies, and any paperwork related to your MRI, including receipts and bills.
Conclusion
Proactive planning and communication with your healthcare providers and insurance company are essential to minimizing your financial burden when it comes to reducing out-of-pocket costs for an MRI scan. Understanding your policy and exploring all available options is crucial.
Your MRI scan does not have to be a costly diagnostic experience. It is always recommended to call multiple imaging centers in the local area. Patients must be diligent in their research to find an imaging center that meets their financial and medical needs. Inquire about availability and it is important to ask about the cash price. Most importantly, schedule an appointment with the imaging center that truly cares about their patients.
Additional Resources
- Top MRI service providers in Los Angeles, CA.
- Top MRI service providers in Orange County, CA.
- MRI Health Risks – Separating Fact from Fiction
- MRI vs CT Scan – Discussing key differences and advantage to each modality.
For more information, make sure to visit our Resource Library and Patient Resources Page for the latest content. They are filled with helpful resources to answer all of your imaging questions.
Additional MRI scan resources available on our YouTube channel at https://www.youtube.com/c/MRIPETCTSupportEngineer